Primary Care Appeals resources

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We hold one of the largest databases of healthcare related compensation claims in the world, complemented by data on practitioner performance concerns and the causes of contracting disputes in primary care. This is more than 25 years’ worth of data on concerns raised about NHS care.

We have a duty to use this information responsibly to drive positive change for patients and staff.

Our resources section is here to support the early resolution of contracting disputes, improvements in patient safety, a reduction in harm and a reduction in claims.

You can search for resources by topic (such as diabetes, general practice, emergency medicine, spinal infections, maternity), or by the type of resource you would like to view (such as report, video, presentation, animation).

If you would like any further information, please contact us via our contact webpages.

Guidance note

Primary Care Appeals – Guidance note Pharmaceutical Needs Assessment (PNA)

This guidance note focuses on the determination of appeals where the Pharmacy Appeals Committee (“Committee”) has been required to consider which PNA should apply to its determination. Its purpose is to provide guidance based on past decisions. The referenced cases are based on particular circumstances …


Supporting primary care

NHS Resolution offers support and insights to those working in primary care from across our four services: Claims Management, Practitioner Performance Advice, Primary Care Appeals and Safety and Learning. We have produced a short digital brochure that outlines how each service supports those working in …


Primary Care Appeals – who we are and what we do

NHS Resolution is responsible for ensuring the prompt and fair resolution of appeals and disputes between primary care contractors or those wishing to provide primary care services and NHS England/integrated care boards (ICBs). Contractors or those wishing to provide primary care services include general practitioners, …


Primary Care Appeals – approach to awarding interest

The purpose of this note is to set out the approach of Primary Care Appeals to the consideration of awarding interest including the guiding principles and process involved.  The approach set out in this note is subject to review and evaluation.


Primary Care Appeals 2020-21 Case stories

In order to facilitate wider learning we highlight the following pharmacy related decisions (where indicated, the full decisions are available on our webpages)

Guidance note

Primary Care Appeals – dispute resolution guidance

This Guidance Note is for general information purposes only. It is not exhaustive but does cover the essential elements needed for parties submitting, or responding to, applications for dispute resolution

Guidance note

Primary Care Appeals – Breach and Remedial Notices guidance note

Breach notices and remedial notices are performance related sanctions resulting from breaches of NHS pharmacists’ terms of service. The terms of service of NHS pharmacists are set out in Schedule 4 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013

Guidance note

Primary Care Appeals – Hearing appeals together

Schedule 3 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (the “Regulations”) sets out how appeals of decisions made by NHS England under the Regulations are to be conducted